Suppr超能文献

印度尼西亚儿童适龄母乳喂养、饮食多样性和动物源食品消费的决定因素。

Determinants of age-appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children.

机构信息

Department of Biostatistics and Population Studies, Universitas Airlangga, Banyuwangi Campus, Banyuwangi, Indonesia.

Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Matern Child Nutr. 2020 Jan;16(1):e12889. doi: 10.1111/mcn.12889. Epub 2019 Oct 2.

Abstract

Global child feeding practices remain suboptimal. In this study, we assess the determinants of age-inappropriate breastfeeding, dietary diversity, and consumption of 3+ types of animal source foods (ASFs) using 11,687 observations from combined data from the Indonesian Demographic Health Survey of 2012 and 2017. We used linear and logistic regression after adjusting for the complex sampling design. Child's age and quality of antenatal care (ANC) were associated with all outcomes. Socio-economic status and labour force participation were positively associated with higher dietary diversity score, ASF consumption, and age-inappropriate breastfeeding. More ANC visits and having consultation at ANC were associated with more dietary diversity. Higher women's knowledge level was associated with more dietary diversity and consuming more ASF. Compared with western Indonesia, more children in eastern Indonesia were age-inappropriately breastfed and had lower dietary diversity. The Indonesian government needs to develop programmes to improve child feeding particularly in eastern Indonesia, focusing on improving dietary diversity and ASF consumption in poorer households and on prolonging breastfeeding in richer households. Women's labour force participation should be encouraged, but programmes for working mothers are also needed to support continued breastfeeding and to express breast milk. ANC and postnatal programmes need improved consultation sessions for child feeding.

摘要

全球儿童喂养实践仍然不尽如人意。在这项研究中,我们使用来自 2012 年和 2017 年印度尼西亚人口健康调查的综合数据,评估了 11687 个观察结果,评估了不适当的母乳喂养、饮食多样性和摄入 3 种及以上动物源食品(ASF)的决定因素。我们在调整了复杂抽样设计后,使用了线性和逻辑回归。儿童的年龄和产前保健(ANC)质量与所有结果相关。社会经济地位和劳动力参与与更高的饮食多样性评分、ASF 消费和不适当的母乳喂养呈正相关。更多的 ANC 就诊次数和 ANC 咨询与更多的饮食多样性相关。更高的妇女知识水平与更多的饮食多样性和摄入更多的 ASF 有关。与印度尼西亚西部相比,印度尼西亚东部更多的儿童进行了不适当的母乳喂养,饮食多样性较低。印度尼西亚政府需要制定方案来改善儿童喂养,特别是在印度尼西亚东部,重点是改善贫困家庭的饮食多样性和 ASF 消费,并在富裕家庭中延长母乳喂养时间。应鼓励妇女参与劳动力,但也需要为职业母亲制定方案,以支持持续母乳喂养和表达母乳。ANC 和产后方案需要改进儿童喂养的咨询环节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/054e/7038882/b648f332ad1b/MCN-16-e12889-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验